A Systematic Review of the Performance Characteristics of Clinical Event Monitor Signals Used to Detect Adverse Drug Events in the Hospital Setting

Handler, Steven M.; Altman, Richard; Perera, Subashan; Hanlon, Joseph T.; Studenski, Stephanie A.; Bost, James E.; Saul, Melissa; Fridsma, Douglas B.

doi:10.1197/jamia.m2369

Cited by 94 publications

(109 citation statements)

References 70 publications

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“…Há autores 18 que, ao calcular a propor ção de EAM identificados por cada um dos rastreadores, denominam o resultado de valor preditivo positivo (VPP). Entretanto, o conceito pareceria mais apropriado caso os resultados alcançados na identificação de EAM por rastreador fossem confronta dos com aqueles alcançados com outros métodos, por exemplo, testes laboratoriais ou auditorias de prontuários.…”

Section: Desempenho Dos Rastreadoresunclassified

Vigilância de eventos adversos a medicamentos em hospitais: aplicação e desempenho de rastreadores

Giordani

Rozenfeld

Oliveira

et al. 2012

Rev. bras. epidemiol.

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Os eventos adversos a medicamentos (EAMs) são causa importante de comprometimento da qualidade da atenção ao paciente hospitalizado e, por isso, devem ser identificados e caracterizados. Para tanto surgiram listas de rastreadores, entre elas a proposta pelo Institute for Healthcare Improvement. Aqui é apresentado o processo da aplicação dos rastreadores e o seu desempenho em um hospital de ensino. As informações sobre os rastreadores e os EAM foram coletadas por meio de revisão retrospectiva dos prontuários de pacientes com alta hospitalar de janeiro a junho de 2008. Foram identificados 497 rastreadores em 177 prontuários, onde cada prontuário apresentou, em média, 2,33 (DP = 2,7) rastreadores. Os encontrados com mais frequência foram: "antiemético" (72,1/100 prontuários), "interrupção abrupta da medicação" (70,0/100 prontuários) e "sedação excessiva, sonolência, torpor, letargia, queda e hipotensão" (34,6/100 prontuários). Os mais eficientes na captura de EAM (rendimento), isto é, aqueles que uma vez identificados sinalizaram possíveis eventos foram "antagonista de benzodiazepínico", "antidiarréicos" e "rash cutâneo". Os EAM mais encontrados foram relacionados aos rastreadores "interrupção abrupta da medicação" (8,3/100 prontuários), "antiemético" (4,6/100 prontuários) e "rash cutâneo" (2,1/100 prontuários). Essas considerações apontam para a utilidade do emprego da lista de rastreadores e podem contribuir para decidir sobre ajustes na sua aplicação.

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Section: Desempenho Dos Rastreadoresunclassified

Vigilância de eventos adversos a medicamentos em hospitais: aplicação e desempenho de rastreadores

Giordani

Rozenfeld

Oliveira

et al. 2012

Rev. bras. epidemiol.

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“…이와 같은 개인이 느끼는 장애 요인은 기저에 존재하는 조직의 의사소통의 부재, 익숙하 지 못한 업무 [12], 팀워크와 협동, 문제해결과 의사결정, 리더십과 관리 [13] 등 다양한 요인이 관련되므로 조직측 면의 문제로 접근해야 할 필요가 있다 [6,14].…”

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Canonical correlation between organizational characteristics and barrier to medication error reporting of nurses

Kim¹,

Kim

2014

Journal of the Korea Academia-Industrial cooperation Society

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Purpose: The purpose of this study was to examine the relationship between nurse's perception of organizational characteristics including safety climate and work environment and barrier to medication error reporting. Methods: We surveyed 334 nurses from 7 hospitals. An assessment survey was consisted of modified safety climate scale, practice environment scale and barrier to medication error reporting. The data were collected from September 2012. Descriptive statistics, Pearson correlation coefficient, canonical correlation were used. Results: Organizational characteristics were related to barrier to medication error reporting with three significant canonical variables. The first canonical correlation coefficient was .50 (Wilks' λ=0.61, df=32, p<.001), that of the second was .35(Wilks' λ=0.81, df=21, p<.001) and that of the third was .22(Wilks' λ=0.93, df=12, p=.018). The first variate indicated higher perception of safety climate variables and work environment variables were related lower barrier to medication error reporting variables except fear for error reporting. The second variate showed higher perception of 'safety climate between healthcare provider' and higher 'nurse participation in hospital affairs' and 'staffing and resource adequacy' were related to lower 'fear' and 'administrative response' in barrier to medication error reporting variables. Conclusion: Strategies for barrier to medication error reporting and improvement of organizational characteristics including safety climate and work environment should be implemented.

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“…It is an event which engenders problems of health for patients like temporary incapacities. Every ADE prolongates the duration of hospitalization to 2.2 days [9], we can even note deaths. The diabetes is one of the diseases which is sensitive to ADEs, because it affects many organs and causes many health problems.…”

Section: Introductionmentioning

confidence: 99%

“…One of the important medical errors is the Adverse Drug Events (ADE). The ADE is a not wanted harmful medicine reaction, it happens to patients during a taking of medicine with recommended dose in a preventive, diagnostic or therapeutic purpose [9]. It is an event which engenders problems of health for patients like temporary incapacities.…”

Section: Introductionmentioning

confidence: 99%

Development of Ontology for the Representation of Adverse Drug Events of Diabetes Disease

Nakhla¹,

Nouira²

2012

IJCA

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One of the main problems arising in the field of the health is the Adverse Drug Event (ADE). The computer system which aimed to prevent the ADE lacks the ADE knowledge standardization. So the background ADE knowledge is needed. This study presents ADE ontology of diabetes disease which includes the terms relative to the diabetes ADE. Our goal is to organize and structure the information relative to this type of problem, to facilitate the extraction of information used in the computer systems of detect and prevent the ADE specific for diabetes disease. General TermsConstruction of Diabetes ADE Ontology .

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A Systematic Review of the Performance Characteristics of Clinical Event Monitor Signals Used to Detect Adverse Drug Events in the Hospital Setting

Abstract: Results from this study should help clinical information system and computerized decision support producers develop or improve existing clinical event monitors to detect ADEs in their own hospitals by prioritizing those signals with the highest PPVs [corrected]

Cited by 94 publications

References 70 publications

Vigilância de eventos adversos a medicamentos em hospitais: aplicação e desempenho de rastreadores

Vigilância de eventos adversos a medicamentos em hospitais: aplicação e desempenho de rastreadores

Canonical correlation between organizational characteristics and barrier to medication error reporting of nurses

Development of Ontology for the Representation of Adverse Drug Events of Diabetes Disease

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